Evidence map›Paper›PMID 38616941›Full record

ReviewPostepy w kardiologii interwencyjnej = Advances in interventional cardiology2024

Coronary calcifications, the Achilles heel in coronary interventions.

Moustafa Dawood, Moustafa Elwany, Hoda Abdelgawad, Mohamed Sanhoury, Moataz Zaki, Eman Elsharkawy, Moustafa Nawar

Open access · goldAbstract readReview
In one paragraph

Review in Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 7 citations in OpenAlex.

  1. Impact Factor 2.0: a milestone and a call to action forPostepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2026
    Article
  2. Review
  3. Comparative analysis of plaque morphology in coronary and carotid arteries with multidetector computed tomography angiography.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
    Article
  4. Article
  5. Article
  6. Comparison of Procedural and Clinical Outcomes of Angiography- Versus Imaging-Guided Percutaneous Coronary Intervention With Intravascular Lithotripsy.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Observational
  7. Atrial fibrillation following shockwave intravascular lithotripsy.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
    Article
  8. Laser For complex coronary Artery lesion pReparatiOn: the results of the pilot FARO study.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
    Article
  9. Successful bailout rotational atherectomy in aortocoronary dissection of left main coronary artery.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
    Article
  10. MicroNET-covered stent 'sandwich' technique to seal carotid artery perforation in a highly-calcific lesion.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2024
    Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Moustafa DawoodFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Moustafa ElwanyFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Hoda AbdelgawadFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Mohamed SanhouryFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Moataz ZakiMedical Research Institute, Alexandria University, Alexandria, Egypt.
Eman ElsharkawyFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Moustafa NawarFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Alexandria University · EGKing's College Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Percutaneous coronary intervention in severely calcified coronaries has been associated with higher rates of procedural complications, including myocardial infarction and death in addition to increased frequency of coronary revascularization on an intermediate and long-term basis. The SYNTAX score, which is designed to assess the complexity of coronary artery disease and aids in choosing a revascularization method, allocates two points per lesion when there is heavy calcification present on fluoroscopy. With the advent of novel multimodality imaging technologies, the detection and evaluation of coronary calcifications improved significantly over the last decade. Several tools are now available for modifying calcified lesions including different types of dedicated balloons and atherectomy devices, which may create some degree of confusion regarding the suitable application of each instrument. The aim of this review is to cover this vital topic from different aspects. First, we tried to provide an overview on the pathophysiology and types of coronary calcification and its risk factors. Then, we outlined the available imaging modalities for the evaluation of calcified coronary lesions, highlighting the points of strength and weakness of each of them. A comprehensive discussion of calcium-modifying techniques was elaborated, summarizing their mechanism of action, pros and cons, and possible complications. Finally, an integrated algorithm was proposed for the best management of calcified coronary lesions.

Indexed as

coronary calcificationcutting balloonexcimer laser coronary atherectomyintravascular lithotripsyrotational and orbital atherectomyscoring balloon

Identifiers

PMID38616941
PMCPMC11008515
OpenAlexW4393102754

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.